The proposed bill requires health insurance coverage for preimplantation genetic testing (PGT) and in vitro fertilization (IVF) for groups with more than 50 persons, ensuring that contracts for health services include coverage for medically necessary infertility diagnosis and treatment. It specifies that IVF coverage is limited to individuals who have exhausted other treatment options, have not exceeded four completed egg retrievals, and are 45 years of age or younger. The bill also defines "preimplantation genetic testing" and outlines the conditions under which this testing is covered, particularly when both partners are known carriers of certain genetic disorders. Additionally, it mandates that benefits for infertility treatments must be provided to the same extent as other pregnancy-related procedures, with the same copayments and deductibles.

Furthermore, the bill allows religious employers to request exclusions from coverage if it conflicts with their beliefs and clarifies that the provisions do not apply to contracts for individuals eligible for medical assistance programs. It emphasizes that infertility treatments must be performed at accredited facilities and that the same copayments, deductibles, and benefit limits apply as for other medical or surgical benefits. The act is set to take effect 90 days after enactment and will apply to policies or contracts delivered, issued, or renewed thereafter.

Statutes affected:
Introduced: 17:48-6, 17:48A-7, 17:48E-35.22, 17B:27-46.1, 26:2J-4.23, 52:14-17.29, 52:14-17.46.6